Letter to a friend and former OSU medical school classmate. Asylums Anyone?

Note from Eshrink’s Editor: My father had a reunion with his classmates who graduated from the Ohio State University Medical School back in the 50s (1956 I think). Last month, one of the few classmates left in his class sent him and article from the Wall Street Journal. Here is the link to the article https://www.wsj.com/articles/its-time-to-bring-back-the-asylum-ec01fb2?reflink=desktopwebshare_permalink. I’ve included a PDF version at the end of this blog post.

This letter is my dad’s response.

July 31, 2023

Dear Jim, 

           Thanks for the WSJ article regarding asylums.  It resurrected memories of an incident which I wrote about previously (Passing the Torch) when during my residency my attending physician for whom I had a great deal of respect, invited me to share a cup of coffee with him.  This was a bit unusual, and my first thought was to wonder what I had screwed up.  Imagine my surprise when he announced that he would be retiring at the end of my rotation on his service and wanted me to be the first to know.  The casual observer would likely have seen Dr. Ristine as a tough old bird rather than as warm and fuzzy, yet patients warmed to him instantly.  He arrived daily at the hospital wearing a beret and driving a battered topless corvette which had lost the battle when he used it to pull out a stump on his farm. 

           Prior to his stint in academia, he had been assistant director of the department of mental health.  His face was flush with anger as he described his frustrations in that job.  He reported that he made occasional visits to the various state hospitals where he would often sit and cry as he witnessed what he saw in the “backwards.”  His efforts to secure more funding for their treatment went unheeded by the legislature, for as he said, “Severely mentally ill folks don’t vote,” and therein lies the problem.   It has oft been said that “you get what you pay for” and we pay very little considering the magnitude of the problem.  The National Institute of Mental Health reports 5.5% of Americans suffer from a serious mental illness.  Dr. Ristine seemed to be saying that it was now my turn to attempt to fix the problem, which was obviously way above my pay grade.  Nevertheless, I was touched by his openness and still fondly recall that coffee break.

           Surprise, surprise, more than a half century later, I must confess that I have also failed at fixing the problem, but Dr. Ristine had found the solution as had many more who had gone before.  As with most contemporary problems the solutions can be found by following the money or in this case the lack of it.  After the French Revolution Pinel unchained his patients, moved them out of the dungeons, and allowed them to exercise outside.  Unfortunately, such ideas which came to be called the Moral Treatment of Insanity, were rare, and it is estimated that more than 1,000 psychotic folks were burned at the stake. 

           The heroine of the movement was Dorothea Dix who became a tireless advocate for the mentally ill in the mid nineteenth century.  She addressed political bodies throughout the country and even convinced the Pope to launch an inquiry into hospital treatments of the mentally ill.  She was very successful and largely through her efforts a system of asylums was built.  These asylums were usually large attractive buildings with assurances that they would offer the latest in modern treatments.  Unfortunately, there was a lack of effective treatments for the more serious cases and most, if not all, became permanent residents.  It is difficult for us to imagine what it must have been like to deal with large groups of people so paranoid that they lived constantly in terror, and whose suspiciousness made it impossible for them to accept help.  Little wonder that caregivers were driven to try unproven and sometimes garish treatments out of desperation, and that the introduction of Thorazine was greeted with enthusiasm.  Within a year over 70% of psychiatric beds were emptied.  Finally, there was a medication with proven ability to affect delusions and hallucinations, and it was widely hailed as a possible cure for schizophrenia.  

           Mr. Oshinsky begins his piece with a series of instances of murders at the hands of mentally ill persons.   Such stories are real attention getters, especially the gorier ones, and will certainly get more press than articles about drunk drivers who kill.  They will also provide more grist for the NRA crowd’s message that it is the mentally ill not guns that are the problem and reminds us to be careful around those with psychiatric problems as you never know which one is a homicidal maniac.  In reality such assaults are rare and mentally ill folks are more likely to be victims rather than perpetrators of homicides.  Such attitudes do little to eliminate the biases suffered by the mentally ill.

           The author’s statement that our Mental Health system is a “mess” is accurate in my opinion, and it lacks provision for long term care, but the system has suffered mostly due to inadequate funding.  As his last official bill signing prior to his assassination in 1963, President Kennedy signed a bill authorizing the establishment of Comprehensive Mental Health Centers throughout the country.  The idea was to provide care in patients’ home communities.  Eligibility for funding required the provision of 5 essential services including: inpatient, outpatient, social services, medication management, and emergency services.  My hometown was the second in the nation to receive such a grant, and a decade later I was recruited to become its director.  I was exhilarated by a staff who were dedicated to the welfare of our patients, and frustrated by local politics, the difficulty of recruiting psychiatrists to a rural area, but most of all by the limitations of our budget.

           Kennedy’s bill was designed to provide operating expenses for a limited period of time, less than half the proposed facilities were ever built, Reagan eliminated the program as part of his budget squeeze, and now managed care pays for little more than crisis intervention with hospital stays averaging less than 2 days.  I agree that our laws regarding involuntary commitment need to be revised.  After all it is not unusual for such correcting laws to swing too far afield, and indeed in their zeal to “deinstitutionalize,” they failed to recognize there are still patients who require custodial care in spite of our best efforts.  It is also true that without corrective action abusers will find their way into the system and Nurse Ratchets, though rare, do exist, and a community-based system is likely to shed more light.  Which poses the question, without “One Flew Over the Cuckoo’s Nest” would we even be having this conversation. 

           The idea of asylums as he described them is attractive except for the fact that we already did that with poor results, and some would say to repeatedly do the same thing expecting a different result is the definition of insanity.  Many have also posited that the location of asylums for the insane have always been located in out of the way places with the idea that out of sight is out of mind while congratulating ourselves that they are not chained in a dungeon…but thousands are in jail. Though we no longer burn witches at the stake, the stigma of mental illness is alive and well.  I abhor the term behavioral health to describe mental illness which infers that behavior, not illness, is the problem.  Unfortunately, it is aberrant behavior which usually gets the public’s attention rather than its cause.  The term is widely used even by professionals including the mental health center where I last worked.  My efforts to convince the staff that although efforts to convince a psychotic person that a fireplug was not a urinal were laudable, it was unlikely to get to the root of the problem.   Medical insurance still offers minimal coverage for mental health problems.  Employers widely discriminate.  In many ways mental health problems are treated differently.  If mental illness is illness, why not treat it as we do other chronic diseases?  The answer of course remains the same as it was in Dr. Ristine’s day: it is too expensive. 

           The accomplishments of reformers back to the Middle Ages have always been short-lived by lack of adequate funding.  Bedlam, one of the earliest hospitals from the Middle Ages was designed by a famous French architect.  It was said to be a marvelous structure but eventually deteriorated due to lack of funds.  Understaffed and underfunded, their financial problems were solved by the sale of tickets to the townspeople to come watch the lunatics, and bedlam was added to our vocabulary as a word signifying chaos.

           Sorry about boring you with all that stuff, but sometimes when I get started it is hard to stop, and this diatribe will likely end up as a blog.  It was great to hear from you and reassuring that someone is beating the grim reaper.  I have no doubt that you will be around for another reunion.  Do you have any idea how many of us are still alive? It seems to me that almost all of the guys I really knew are gone.

We just returned from our family vacation at North Carolina Beach.  I think it might have been our 25th but the string was interrupted by the covid thing.  All the kids, grandkids and their significant others were there, and the trip was a gift to Barb and I from the kids in honor of our 70th anniversary.  We had a great time and I feel incredibly fortunate to have such a great bunch of people who actually care for a gimpy old fart.

           I agree that the world is a mess right now and I have grave concerns that our progeny may not experience many of the blessings we have enjoyed, but spending time with these kids gave me hope for I think they are smarter than we were and more capable of cleaning up the mess than were we.  Meanwhile, I see the buckeyes are rated #3.  I think it’s time for a national championship.

                                                       Love,

                                                       Smitty and Barb

Below is PDF of the WSJ article dad references.

Best of ESHRINK for Father’s Day: Does anybody answer the damn phone?

Need a doctor? Have an emergency? Please hold and try not to die!

6.18.23: Introduction

For Father’s Day I decided one of Eshrink’s most popular posts–WITH AN UPDATE and EXPLANATION on his dereliction of duties as author of ESHRINK BLOG is appropriate for his fans.

EXPLANATION: Eshrink (my dad) has been head down working on his historical novel (DON’T call it a biography–he has that “Dutch” quality where one doesn’t make anything about “themselves”…I think he has a blog about learning from his mother that “one doesn’t brag” about their accomplishments OR the accomplishments of their children….dad, correct me if I’m wrong). Anyway, Eshrink’s progeny has requested that he use his interesting perspective with 92 years on this planet to write about how things were and how they’ve changed…he has certainly lived history. I understand creatives need time and space to create their masterpieces so I’m recycling some of his most popular blog posts from the archive to keep his fans updated.

THE UPDATE to “DOES ANYONE ANSWER THE DAMN PHONE?” I think dad sarcastically predicted this, but it actually came to fruition. Gregg, my S.O. (when you’re in your late 50s, the title “boyfriend” seems somewhat inaccurate…man friend? Partner? Dude? Significant Other works for this purpose) needed a direct flight to Las Vegas for a sales meeting. He decided to try SPIRIT Airline at my urging– I had a good experience last year when I flew direct to Vegas with the kids. When he found out the main meeting was actually starting a day later, he tried to change his flight and that’s when it happened (Spirit Airline was perfectly fine with you wanting to handle the situation via phone but they explained they would charge you $25 if you wanted to actually talk to a human being) Needless to say, he kept his flight (their online user interface for changing flights was quite dreadful…I’m sure intentionally so). I guess I’ve inherited my dad’s “CURMUDGEON” tendencies and sarcasm! Please enjoy this post from 2014.

===========================

DOES ANYONE ANSWER THE DAMN PHONE?

One would think that anyone who has been on this planet as long as I would have “seen it all”.  Well not quite.  The other day I had occasion to call our local hospital and found myself listening to a recording.  After my initial shock, I decided that I must have called the wrong number, but redial confirmed my worst fears as the voice instructed me to call 911 if this were an emergency, but assured me the operator would be back on the line shortly (whenever she finished her coffee break?).  It left me wondering if the hospital was no longer in the emergency business.

Fortunately for my coronary arteries I was spared the indignity of hearing the ultimate contradiction of how important was my call.  Whenever I hear that message, I begin to salivate like Pavlov’s dog, and scream “if it is so important why don’t  you answer the damn phone”!  I was however subjected to the usual noises masquerading as music while I fumed and waited.  My record of listening to these awful sounds punctuated with that stupid lie about the importance of my call is forty three and one half minutes.  Fortunately the hospital operator answered in only a few minutes, but I was still in shock.  She assured me that she had been on the line talking to others, but I am still not convinced that she wasn’t taking a break.

Prior to the dawn of the technology age, the hospital operator served a very important function not only as a purveyer of all kinds of useful information about the hospital, but as a link to the outside world.  It was her/his responsibility to initiate procedures to mobilize crisis units in case of local disasters for example.  A more forward thinking person than myself would not have been surprised by this unthinkable event, for I should have known that when hospitals began to refer to their patients as customers that these so called not for profit organizations had set out to emulate their profit based cousins in the business world.  Perhaps an appropriate motto would be “if you like General Motors, you will love this hospital”.

Many accuse we old folks as being resistive  to change which is probably true; however we have been around long enough see what was promoted as progress to sometimes turn out to be regress.  I figure it must have been an old guy who coined the phrase, “if it ain’t broke don’t fix it”.  Now II realize this phone thing has been a boon doggle for many workers, as I can see how it provides them opportunity to goof off, socialize with coworkers, play video games, or take care of excretory functions, and I have always been in favor of fringe benefits for workers; however my forty three and a half minutes of time is gone forever and I don’t have much of that commodity left.   One of my Grandkids suggested that a solution might be to leave my phone on speaker, a novel idea (fight technology with more technology), but that interferes with my nap.  The bottom line (see even I have been corrupted by corporate influences) is that I will simply need to adjust, not easy for an old guy.

Though I realize that we will never go back to the days when a call was answered by a live human being who simply said hello, I feel there should be some punishment levied against the person who invented this tool designed to inflict such diabolical punishment.  In my last letter, I had suggested in a fit of anger that someone should be lynched.  I didn’t mean that as I am against capital punishment, mob violence, or torture.  However; I would be in favor of his being sent to the Haque to face charges of Crimes against Humanity.

Father’s Day Note from the Editor: I love you dad…that goes without saying…some of the qualities I admire most about you are your determination, your patience (not with technology but with humans), your compassion, your loyalty, passion for learning, and how you have always been there for us. I always felt heard…even as a child. When I say, “You’re the best dad on the planet,” it’s not hyperbole…it’s a FACT!

The Way It Was: Part 3 | THE FARM

Introduction from Editor: In THE WAY IT WAS: Part 2 | The Great Depression, Eshrink shared his perspective and experiences during the Great Depression and the 1930s and early 1940s in middle America.

The best weeks of every summer for my brother and me was the time we spent on the farm.  Our Grandparents were welcoming, but I wonder how they really felt about such a rambunctious invasion.  It was well known that one of Grandma’s favorite pastimes was feeding people, especially kids, but she expected some praise in return for her efforts.  She would sometimes manage to put us to work hoeing corn or working in the garden, but those efforts were short lived as we would soon escape to go swimming or fishing in the creek which ran through the pasture.  She would also occasionally recruit us to accompany her on expeditions looking for patches of wild blackberries or raspberries from which she promised to make pies with the portions left over after making a batch of jam.  She was fearless and reminded me of Brer Rabbit in the Aesop fable as she waded into those briar patches apparently oblivious to the pain they caused.  

In those days the family farm was as the name implies primarily for the purpose of feeding the family.  The idea came to fruition several thousand years ago when people decided that it would make more sense to plant and harvest stuff than to go chasing all over the place hoping to find something edible to kill or pick.  Of course, if a person had some stuff left over after the family was fed, he might trade it for a new loin cloth or something.  That concept had changed little at this little piece of land adjoining the village of Irville, Ohio, population of probably less than 100 souls.  During the all too brief time that I have occupied the planet, I have witnessed the demise of the family farm.  As technology and transportation have improved, it has become much more efficient to specialize, which has led the average farmer to sell all he grows and purchase what food his family needs. As the principles of mass production invaded the food industry, families found a can of beans bought at the local grocery would cost less than the materials that would be required to put them in mason jars, not to mention the hours of labor involved in their growing and preparation.  Nevertheless, one could see in Grandma’s eyes a deep sense of satisfaction when she looked at the numerous colored jars of fruits, vegetables, jams, and beef which lined the shelves in her cellar. 

There was one instance in which I remember experiencing that feeling. It happened as I was eating one of Grandma’s “light cakes” that was still warm from her oven, covered with a slab of butter from her churn, and topped with a glorious glob of apple butter and washed down with a cold glass of buttermilk.  In spite of years of diligent searching, I have never been able to duplicate that taste.  There is little doubt that memory is enhanced by the recollection of my participation in the production of this culinary delight, for I was charged with gathering apples from the old tree that protected the back porch and like a giant umbrella, held sway over the well and its pump. 

Fascination with the mechanical apple peeler led me to ask if I could do it, but therein lay the wisdom of that adage to be careful what you wish for, as I soon learned that it takes a lot of apples to fill a five-gallon copper bucket.  A fire had been started in the back yard under the vintage bucket filled with peeled, cored, and diced apples along with a package of cinnamon drops and brown sugar.  I was assigned the job of continually stirring the glob for the next several hours with a long-handled wooden hoe which Grandad had made for the purpose.  I watched as that yellow glob became a rich golden-brown delicacy, some of which would find its way on to Grandma’s “light cakes.”  Sorry Mr. Smucker….you do a good job, but your apple butter does not generate the same feeling as my “home-made” version.  I have no idea why, but suspect it has something to do with belonging (i.e., me becoming a participant in the creation rather than simply a consumer).  I had teamed up with nature to produce something good, and that was very satisfying.

5 gallon bucket for apple butter
The 5-Gallon Bucket Eshrink used to make apple butter now holds plants in my (daughter Maggie & Eshrink Editor) house. Granddaughter Caroline asked her papa if she could have the pail when she read about it in his book, “Reflections for the Future”

With the development of farms limiting their production to only one product such as grain, vegetables, fruit, dairy, pork, or beef, etc,, farming became a business rather than a lifestyle. Unfortunately, for many reasons, the average farmer has found himself ill-prepared to compete with corporate interests which have bought large swaths of land, which when unencumbered by fences or other impediments, make it possible for one person with the help of technological advances in farm machinery to manage many times more land than could the family farmer. Such facilities have been aptly called “factory farms” for they have become models of efficiency by adopting industrial methods. They offer many advantages, but as I have noted in previous blogs, they also have in some cases accelerated environmental problems, and raised the ire of animal rights advocates along with guys like me.

My Grandparent’s farm was certainly nothing to look at. It was only 23 acres in size, with a house that had not felt the caress of a paint brush in at least 40 or 50 years. It was situated in a large valley that encompassed several square miles, which was said to have originated as a large lake formed by the latest glacier.  It had apparently been inhabited by Indians for we kids found it profitable to follow the plow when earth was being turned in order to find arrowheads. The valley was also the site of a large burial mound which had been long ago desecrated.  To find an arrowhead or spear point was a major happening and would elicit wondrous images as to how it got there. 

The farm house had the obligatory front porch with a swing and wicker chairs.  The porch looked out on the main road which ran through the village and provided a front row seat for the family as they watched me nearly meet my maker at the tender age of 4 years old. In my excitement to show off a treat from the village general store, I had broken away from Grandad’s hand to run across the road directly into the front fender of a passing automobile.  I awakened on a couch in the parlor to find Dr. Wells looking down at me, and realized I was in big trouble for this was the only time I had been allowed in this room since my Great Grandmother’s funeral, and the couch on which I was laying was reserved for special occasions.  The good doctor assured everyone that I would be fine and turned his attention to Grandad who had collapsed in the middle of the road after assuming the worst.  This was the second time I had escaped from the clutches of the grim reaper, and it left me saddled with the accident-prone moniker. The other incident involved the well-worn story of my rescue by Dad when I had fallen into the river as we were fishing alongside the Pleasant Valley covered bridge. 

Weather permitting, the front porch was heavily occupied on Sunday afternoons. We kids had learned to pay homage to Grandma’s culinary expertise by patting our midsections and letting out a loud burp or two. The Sabbath was rigidly observed except for those businesses or professions that were deemed necessary for the public good.  For example, it was considered very poor taste to be seen mowing one’s lawn on Sunday, and some more zealous Christians even thought it was a sin to cook on Sundays and would prepare Sunday meals on Saturday.  Nevertheless, the average farmer could hardly consider the Sabbath as a day of rest.  Even with suspension of many activities, there remained much which could not be put off.  Grandad’s day began shortly after daybreak with milking of his four cows.  There were also the hogs to feed and water, along with the chickens which in both cases required considerable effort since it required filling buckets of water from the pump that stood under a large apple tree situated near the back porch some distance from the hog lot or hen house.  Those chores were repeated in the late afternoon.  The balance of his morning was consumed by shaving with a straight razor (I remember watching in awe as he deftly disposed of those white whiskers without cutting his throat).  Meanwhile, Grandma had deftly separated a rooster from his head and her crown achievement of the week, the preparation of Sunday dinner, began.  I never knew them to attend church, but at the age of 96 Grandma still nightly prayed on her knees at the side of her bed. While the kitchen was being cleaned up, there were often horrible screeching sounds emanating from the stable as Grandad sharpened his tools in preparation for the week’s work.  After all that, the day of rest began, but it would be short lived for in a couple of hours it would be time for evening chores. 

The valley ground was fertile and made more so with liberal applications of cow manure which was collected in a large pile to the rear of the stables.  There were 4 cows who would be found standing at the gate awaiting to be escorted to the stanchions at milking time.  My favorite was named Bossy.  She would allow me to ride her to the stable, while a Jersey named Whitey was mean, and only Grandad could handle her.  A small stream that coursed through the pasture was called the run.  It emptied into the creek which found its way into the river where I had nearly drowned and therefore was off limits to us kids.  It was the run however where we spent much of our time swimming and fishing.  At some time in the remote past, a road had been cut through a corner of the farm which left a small corner of ground as the designated hog lot.  It backed up to the local cemetery where my Grandparents, Great Grandparents, and other relatives are buried.  The location was not very convenient as it was a bit of a hike for carrying water and feed to the hogs twice a day, but it did have the advantage of wafting the odor away from the house toward the cemetery.  In addition to the chicken house, smoke house, and corn crib, there was the brooder house in the barnyard where the new chicks could be sheltered until they were old enough to survive outside temperatures. 

The length of the farm workday was determined by the time of the year, since it depended on the number of daylight hours although, with the invention of the kerosene lantern it had been extended even beyond that.  As is always the case, those items of momentous change in our lives eventually become routine and taken for granted.  Such was certainly the case when Dad introduced electricity to the farm.  Milking time needed to be rearranged for at 7 o’clock Grandad could be found with his right ear pressed against the speaker of his new radio with its volume set high enough to chase everyone else from the room while he listened to H.V. Kaltenborn’s news cast. 

Imagine Spinney’s delight when he first walked into the barn and simply flipped a switch in order to be bathed in light.  There was no longer a need to walk to the general store in the village to purchase kerosene, fill the lantern, adjust and light the wick, then find a place to safely hang it where it was not at risk to burn the barn down for there are not many materials more flammable than straw or hay.  He was not one to jump onto the latest invention, preferring to sharpen his tools with a file, oil stone, and an old treadle operated grindstone.  He was not averse to power tools and other modern conveniences, and indeed was intrigued by technology, but simply preferred doing things the old way.  He was quick to adopt the new ways when there were clear advantages.  For example, when Bell the plow horse, had died, Grandad did a cost analysis and determined that he could hire a neighbor to plow his gardens and fields with a tractor much cheaper than he could keep a horse.  I was heart-broken when he subsequently sold the spring wagon for, I had loved pretending to be riding shotgun when he harnessed Bell to the wagon, and we headed to the feed store with me sitting up there beside him. 

Grandma on the other hand embraced this new technology with a vengeance.  She immediately started saving her egg money for one of those new-fangled electric refrigerators, which was soon followed by a wringer washer.  Subsequent birthdays and Christmases would bring forth a spate of small appliances over which she would marvel. Natural gas had also recently been piped into the house and a brand-new shiny gas cooking stove had replaced her trusty old soot belcher, although the old Florence stove still stood in the midst of the family room where it devoured large chunks of coal in a feeble effort to warm the whole house. 

My Father was a proud person, and it must have been devastating to have lost everything he had worked so hard to accomplish so soon after starting his own family. His assertiveness at times bordered on arrogance, and he was not shy about offering his opinions. Although it was not readily apparent, he was a caring person.  On one occasion, to my mother’s chagrin, he brought a hitchhiker he had picked up, home for dinner, later explaining that the guy was hungry, and he felt sorry for him.  He had quit school in the 8th grade in order to support his family due to his father’s alcoholism.  This in spite of having been promised by a local resident of the village to pay for college if he would stay in school. The only reference I ever heard him make to the poverty of his childhood was when he admitted that the reason he always wanted to be sure of having eggs in the refrigerator was because his mother once sent him with a penny to buy one egg from a neighbor.  He was so mortified that he vowed to always have eggs when he grew up, yet here he was once again with no eggs in the ice box.  In spite of his place as the younger of the two boys in a family of six, he was the one assigned to search local bars in search for his father during his dad’s alcoholic binges. My paternal grandfather was a colorful figure in his own right and had shown himself capable of successes in between binges. Although I have few memories of him, the stories I have heard suggest that he was in spite of his flaws a brilliant person, and I hope to write more about him later.  I only remember my paternal Grandma as long suffering, helpless, and dependent on my father.  In spite of the complex dynamics of his family of origin, Dad showed no signs of bitterness.  He was outgoing, gregarious, and definitely a presence in any group situation.  I recall him saying on one occasion that he had always wanted to be a salesman, and his persona fit that role perfectly.  Later in his life that wish would be fulfilled in spite of his lack of education, and as expected he found success there.  

Mother had grown up in a secure environment in a neighboring small village surrounded by extended family and cared for by hard working parents.  I have hanging on my garage wall her framed diploma from high school which measures nearly 2 feet square.  Apparently in her time a high school education was a really big deal.  Her father was big on education for following graduation she enrolled in a business school which I assume was somewhat similar to present day community colleges.  The curriculum involved bookkeeping, and secretarial skills for although women had recently won the right to vote, career-wise they were largely limited to those professions which involved assisting men such as a personal secretary or some degree of nurturing as nurses, teachers (mostly lower grades), domestic help, waitresses, child care workers, seamstresses, prostitutes, or nuns.  There were a few exceptions: for example, the explosive growth in telephone usage before the invention of dial-phones provided an opportunity for a female to make a living wage saying “number please”.  It was widely recognized that the weaker sex lacked the strength both physically and emotionally to deal with the rigors of management, or the judgement to make rational decisions.  Mother as was the norm in those days feigned acquiescence to whatever decisions Dad would make, yet I know they discussed family decisions before passing them on to us kids.  The one time I saw her openly assert herself was when in later years she told him he was drinking too much.  He never took another drink after that.

The Way It Was: Part 2 | The Great Depression

Introduction: In the post The Way It Was: Part 1 eshrink shared his earliest memories in southeastern Ohio as a child born in 1930. He described the complex world of Jim Crow and race relations from his perspective and his earliest memories. Born during The Great Depression, eshrink (my dad) has first-hand memories of what that era was like for a boy growing up in Ohio. In this segment, you’ll get a glimpse of life, activities, and the experiences that had a major influence on his life. Even more, you’ll get a historic picture of the 1930s and 40s in middle America. Dad doesn’t suffer from revisionist history that romanticizes nostalgia as “the good ole days” and illustrates the struggles as well as the joys of the era from his perspective.
Happy Reading!

There but for the grace of God go I…

As for the depression, I did not suffer, but it was impossible to ignore the beggars on virtually every street corner or the hoboes (often referred to as “bums”) who would appear at the back door begging for food. Much has been written about hunger during the Great Depression, but I don’t recall ever going to bed hungry.  It would be 50 years later when my older brother would remind me that there were times when Mom and Dad told us to eat first.  Likewise, it was long after their deaths that I learned that my maternal Grandfather (Spinney), a carpenter, had built them a house as a wedding present, which they had lost when the factory where my father worked shut down during the depression. 

“Scrappy” was Required for Survival During the Depression

I do recall learning that we had moved four times by the time I was 5 years old, but somehow, probably due to my father’s ingenuity, we managed to escape homelessness.  Dad was not one to miss an opportunity to make a buck and was willing to present himself as having expertise where none existed.  In those days, most houses had wallpaper throughout since interior walls and ceilings were plastered and subject to developing cracks.  Thus, when a more affluent neighbor reported they were looking for a paper hanger he presented himself as an expert though he had never so much as touched a roll of wallpaper.  Likewise, when Roosevelt passed the Rural Electrification Act, there was an immediate demand for electricians to wire houses and barns throughout the country.  He seized the moment, declared himself an electrician and set about wiring houses after consulting with a bona fide electrician friend in order to learn the essentials. 

Homelessness and Hoovervilles during the Depression

The unemployment rate was over 25%, but due to vagrancy laws homelessness was largely confined to the shanty towns constructed of scavenged materials.  Such areas were referred to as Hoovervilles in reference to Herbert Hoover who was largely blamed for the depression.  They were usually located on the outskirts of cities and towns in inconspicuous areas and were at risk for raids from law enforcement.  On the other hand, many unemployed men played a cat and mouse game with local law enforcements wandering from town to town to escape jail time. The vagrancy laws, which were established to control the black population following the Civil War, were resurrected in order to assure that homelessness would be kept out of sight.   Hope was in short supply which many had lost after months of fruitless attempts to find work.  A significant number of these men were veterans of World War I who suffered from “shell shock”, disabling physical injuries, or chronic lung disease resulting from exposure to mustard gas.  Veteran’s pensions proved hard to get and these alienated souls traveled from town-to-town hitch-hiking, walking, or hopping freight trains.  Hoboes developed their own subculture with hidden campsites throughout the country, usually migrating to the south in winter, though it was not unusual for a farmer to discover one who had misjudged the onset of cold weather sleeping in his haymow.  They shared information as to the most tolerant communities, favorable routes, and even freight train schedules. 

A Day in the Life of a Kid during the Depression

In spite of all the problems that surrounded us, we kids were busy doing what kids do. In winter, we prayed for snow and kept the runners on our sleds polished in case it happened.  Since school was so highly regimented, we were out the door as soon as we got home, weather permitting. There were no television shows or video games to keep us in the house, but there were radio programs designed for us such as: JACK ARMSTRONG ALL AMERICAN BOY, THE LONE RANGER, and THE SHADOW.  In the summer there were even more incentives to be outside, since without air conditioning the outdoors was more comfortable.  May 1st may have been a time of celebration for communists, but it was the officially designated time my brother and I were allowed to go barefooted.  It would take us several weeks to get our feet tough enough to handle walking on gravel roads.  Summers were glorious times, and Labor Day was the worst holiday of the year for the next day school resumed.  I used a lot of energy as an unwelcome “tagalong” chasing my brother and his friends.  We ran all day, swam in the creek, climbed trees, rode bikes (I inherited my brother’s beat up version), shot marbles, played cowboys and Indians, follow the leader, and all kinds of kid organized ball games.  We followed the ice truck through the neighborhood looking for chunks of ice that often fell off when the driver grabbed a chunk of ice with his tongs.  There were arguments, which were usually resolved without interference of adults, and times when a kid could learn to enjoy solitude by lying on his back in the grass watching the clouds.  Rainy days were good for making model airplanes and reading comic books.  I memorized the Boy Scout manual for I desperately wanted to be a Boy Scout. However, we never stayed in one place long enough for me to make contact.  There was also the expense of a uniform, which presented a problem. 

The BIG Event: The CIRCUS comes to town

The county fair was a big summer event, but it paled in the face of the appearance of the Ringling Brothers, Barnum and Bailey Circus.  Even if you couldn’t afford it, it still lived up to its mantra as “the Greatest Show on Earth”. I was able to attend one year and was absolutely mesmerized.  There were other circuses, but none compared to P.T. Barnum’s version.  One year, to my delight, the parade to the fairgrounds, where the circus was to set up, a show unto itself, went down the street in front of the house where we lived. We watched in awe as the elephants, and caged wagons with lions and tigers passed by.  People lined the streets, for the parade was a show unto itself.   Whenever there was a circus in town, we went to watch them miraculously set up the whole operation in a few hours with the help of elephants who effortlessly raised the tent poles to their full height.  Following the last performance, Dad would take us to join the crowd at the train station to watch them load the huge tent, people, wagons, and animals.  That frantic activity would take them into the wee hours of the night until the train pulled out, headed for the next town, where what appeared to us kids as an exciting glamorous scenario, would play out again.  Consequently, threats by disgruntled kids to “run away and join the circus” were not uncommon. 

Newspapers and Paper Routes: The Way It Was

Issued October 1952. Editor’s Note for the “Way It Was” Series: Note Newspaperboys and Busy Boys…Better Boys. Girls need not apply.

Many kids had paper routes, and there was competition for the larger ones with houses close together, although the routes for the morning paper which required one to get up by 5 AM were less popular.  Although many depended on radio for news the newspaper was still the major source of information, and reporters were held in high regard.  To take over a paper route provided a kid with a crash course in business.  His papers were dumped at a designated street corner where he picked them up, folded them into individual rolls and headed off on his route via a bicycle if he was fortunate enough to own one.  The paper boy was in effect a retailor who bought his papers and sold them to his customers.  Collecting the

money for his sales was his problem, and it was not all that unusual for a carrier to be stiffed by his customers.   In other words, when assuming the contract to become a “paper boy”, he had become a full-fledged retail businessperson with all its benefits and problems.

The printed word was an important part of everyday life since it was virtually the only source of information about the goings on outside of one’s own neighborhood.  There was intense competition, as was seen in my small town where there were at one time three separate daily papers, while some surrounding counties also had their own weekly papers of mostly local news.  The printing of a paper was very labor intensive, requiring the services of not only the men who operated the huge presses that produced the paper, but a cadre of skilled workers called typesetters who were responsible for arranging all that type to form words.  Speed was of the essence for as the name implies if it is not new it is not news.  Consequently, most daily papers were capable of producing at a moment’s notice “extras” (i.e., special editions featuring important events).

Many foreign correspondents who covered WWII became famous.  Ernie Pyle who was killed while covering action in the South Pacific gained fame for his interviews with ordinary soldiers on the front lines.  Walter Cronkite would end his career as an anchor man on television and was hailed as the nation’s most trusted source of news.  Edward R. Murrow who would later be credited for helping bring down Joe McCarthy, (perpetrator of the red scare), broadcasted from allied planes on bombing missions while on assignment in London during WWII.  Bill Mauldin’s cartoons featuring G.I. Joe portrayed the pathos and humor experienced by foot soldiers.  Photojournalists also became more important as magazines such as Life and Look gained wider circulation. 

Radio

Although during my childhood, newspapers remained the most popular source for news, radio had gained a strong presence in a few short years.  I remember listening to station KDKA in Pittsburgh, which bragged that they sent out the strongest signal in the nation.  They were the first to broadcast to large areas of the country.   Although the technology had existed for some time, such broadcasting had only begun in 1920.   In the 1930s, owning a radio became a high priority, and a new Fairbanks-Morse radio was the centerpiece of the average family’s living room.  It would be many years before FM radio was available and AM had many limitations.  Foremost was the fact that AM reception was affected by weather, and the signal strengths of other stations, which could sometimes intrude on other frequencies.  It was not until 1926 that the first radio broadcasting network, (NBC) began the process of linking local stations so that programs could be transmitted nationally. 

It didn’t take long for politicians to recognize the value of radio as a communications tool, and I recall listening to FDR giving one of his “fireside chats”.  Although I had no idea what he was talking about, I was fascinated because everyone was listening attentively to his every word.  I even remember listening to the infamous antisemitic Catholic priest (Father Coughlin).  His Sunday evening broadcasts of fascist rants attracted millions of listeners and was felt by many, to have contributed to the initial reluctance of many Americans to support Britain in their struggle against Hitler.  During its hey-day in the 1930s and 40s there was something for everyone on the radio.  With the overwhelming majority of women spending full time in the home, the so-called soap operas found a ready audience during the day, and many mothers arranged their work schedule around their favorite shows.  The serial format of those broadcasts assured that the listener would return the next day to find out how the latest crisis had been resolved.  Late afternoon was time for the after-school programs.  My favorites were the Lone Ranger and I Love a Mystery.  As was chronicled in the TV show, The Christmas Story, there were all kinds of gimmicks designed to attract kids.

Evenings were difficult, for in our house much of prime time was taken up by Lowell Thomas who was dad’s favorite news commentator.  I thought he was really cool due to his involvement in the glamorizing of T. H. Lawrence (Lawrence of Arabia).  I can still remember his soothing baritone voice as he signed off with the words: “So long until tomorrow”.  H. V. Kaltenborn had gained a large audience and was said to broadcast his news and commentary without benefit of a script.  Walter Winchell was an ex-vaudevillian who gained fame as a gossip columnist, but later was credited with destroying the careers of multiple famous Hollywood personalities by supporting Senator Joe McCarthy’s communist witch hunt.  Winchell’s Sunday night broadcasts were rapid and staccato.  His opening intro was: “Hello Mr. and Mrs. North and South America and all the ships at sea”.  I could never figure out where that thing about the ships at sea came from.  He was indeed a colorful figure who was alleged to consort with criminal elements during prohibition, but later in his career became a snitch for Hoover’s G-men. 

Sports

Radio must have been a boon to professional sports, as sporting events could now be reported upon as they happened.  In those days baseball was dubbed “the national pastime”, Babe Ruth was everyone’s hero, and towns of all sizes fielded their own teams, which provided opportunities for sports aficionados, such as Ronald Reagan to become play by play announcers.

Boxing was also very popular, and one of a few professional sports in which African Americans were allowed to participate. The myth of racial superiority of white people had been damaged when Jack Johnson (nicknamed the Galveston Giant) became heavyweight champion a few years previously.  His win spawned riots, and he further infuriated us bigots by marrying a white woman.  In the 1920s, white Jack Dempsey was everyone’s hero, but in the 1930s along came a black fighter named Joe Louis who is widely regarded as the greatest fighter of all time.  I recall lying on the floor in front of our Zenith radio listening to the play by play of his fights which usually did not last long as he had a string of knockouts in early rounds.  Louis was spared from the vituperation endured by Johnson as circumstances would lead this man of humble origins to become a national hero.  In the late thirties Louis had lost to Max Smelling a German, and Hitler crowed about the superiority of the Arian race.  In a rematch, Louis knocked out Snelling in the first round, and became an instant geopolitical hero even though there remained a significant number of Americans who continued to hope for “a great white hope” to unseat him.  Nevertheless, Louis had further discredited Hitler’s myth, which Jesse Owens’s had trashed in the 1936 Olympic games.

Radio Dramas and the Attack of Aliens

Prior to the development of television, in addition to news and music of all kinds, drama was an important part of radio programming.  Many programs were live, and for actors to play roles without benefit of audience or set presented many problems.  Some were even able to play two separate roles at the same time.  Sound engineers became proficient at providing sound effects, which in one instance, caused a near panic nationwide.  In 1938 a young Orson Welles presented an adaptation of H.G. Wells’s THE WAR OF THE WORLDS, which was so realistic that thousands of people, me included, thought we were actually being invaded by aliens, and panic ensued in some cases.  Fortunately, Dad was able to reassure me that it was not real.  As with most people, I am a big fan of television, yet there are times when I yearn for those days of yore when listening to the radio forced me to use my own imagination to picture the action. However, the best week of our summers were the ones my brother and I spent at our grandparents’ farm.

Editor’s Note: Stay tuned for How It Was: Part 3 for a glimpse of farm life in the 1940s with my dad’s favorite past-time highlighted: eating (he was a “foodie” before it was cool).

Cane Therapy

This is Eshrink (my dad) with his cane while he, mom, me, and Annette (pictured) had appetizers and happy hour on their patio last week. Annette is my high school and lifelong BFF. Dad always (and still does) called her Mort (short for Moritmer).

         For the Past couple of years I have been using a cane.  I am an old white guy, but I can’t help that (even though I realize that old white guys are not very popular these days).   As a matter of fact, by today’s standards, I am a very old white guy, which gives me license to use that cane as an alternative to falling because we old guys of any color are prone to take a tumble…and the old gals, too.  Falling is not a trivial event for old guys.  Two of my closest friends, both old guys, have died from falls.  According to the CDC the annual death rate from falls among those age 65 or above is 64 per 100,000.  For those of us 85 and over that number is increasing by 4% each year.  Falls are now the leading cause of accidental death in us old people in addition to massive numbers of debilitating injuries.  I have fallen a couple of times in the past year, but fortunately have escaped serious injury.  

           That leaves me with little doubt that my cane has saved my life on multiple occasions by preventing me from falling, and since I very much like being alive and able to ambulate on my own, there is little wonder that I feel great affection for my cane.  However, it serves a secondary, but no less important function.  It facilitates love.  My use of a cane has changed my relationships with my fellow humans in a very positive way.  As an old, retired shrink, I am accustomed to observing other people while monitoring my own feelings, and I can attest to the fact that you are noticed when using a cane.  I have been amazed at how often people will open a door or stand aside and motion me to move on ahead of them when in a line.  If you appear to struggle a bit getting out of a chair, they frequently offer to give you a hand. 

           In my case becoming an old guy sneaked up on me, and I guess I was in denial for I had become rather gimpy before I finally relented and purchased a cane.  There was also an unwillingness to accept help from strangers and a tinge of resentment for I am not only an old guy but consider myself to be a tough old guy!  Who in the hell did they think they were by judging me to be a helpless old goat? 

Could Caring Explain How Human Beings’ Dominated the Planet? Is it in our DNA?

Then one day I had a serendipitous experience in of all places a mall parking lot.  With the help of my cane, I was attempting to pry myself from my car (which is always a struggle since my car is low to the ground) when a guy showed up asking if he could help.  He quickly unstuck my foot and offered his arm to lift me out.  I looked up to thank him and noted a look of what seemed genuine concern when he asked if I was OK.  I was overwhelmed with a feeling of gratitude that this guy had gone out of his way to help me simply because he cared.  I had a sense that he also felt good about the experience.  I was left with a life changing insight (we shrinks like to use that word), as it suddenly occurred to me that without this type of interaction we humans would never have been able to survive let alone dominate the planet. 

Who would have volunteered to help kill a mastodon if he didn’t think his buddies cared enough to cover his back?  A few thousand years later, we are now even more dependent upon others in order to survive the vicissitudes of modern life in a complex society.  We have evolved to the extent that concern for our brethren has become a part of us and is encoded in our DNA.  In that vein, I found it interesting that in a study of recipients of the Carnegie Medal for Bravery, all reported they acted upon impulse without thought of the consequences. Check out the article and videos here.

Human Connection Saves Lives

It has also become an important factor in our emotional and mental health.  The feeling of being unloved was at the heart of many of my patients’ troubles often leading to poor self-esteem, depression, and unhealthy relationships, even anger and violence, but even worse is the conviction that one is unlovable which may result in the hopelessness we associate with suicidal behavior.  I find it interesting that many of the mass killings we witness are perpetrated by males who are characterized as “loners” (i.e., those, who for whatever reason, feel alienated).  It has been shown that total isolation for even a few weeks may result in psychotic decompensation even in apparently healthy individuals.  Politicians are only successful when they convince voters that they care about them. 

Soldiers who have been in combat often demand to be sent back into battle with their former comrades because of their concern for them, and that killing enemies is necessary to protect their buddies.  We learned from the debacle of the Romanian babies born in orphanages behind the iron curtain that children cannot thrive in an atmosphere without personal loving interaction.  We even have empathy for those poor souls more than a thousand miles away in the Ukraine.  However, these are only a few of the myriad ways that caring about each other enters virtually every aspect of our lives.  Furthermore, they provide evidence that such interactions are not only pleasurable but essential for our well-being and to life itself.

Love. Lust. And Caring.

Love is an oft used word which is used and at times misused to describe feelings of affection.  Poets, philosophers, theologians, musicians, artists, and shrinks of all stripes have long been attempting to define it.  They categorize it according to the initial stimulus which precipitated the feeling.  For example, one would not equate lust with love unless it was accompanied by a feeling of affection i.e. caring for more than just the person’s body.   Nevertheless, it is often lust that gets the potential lover’s attention.  As he investigates further, he may find other things he likes, and the courtship begins which is his attempt to demonstrate that he is loveable.  If he is successful, they fall down the rabbit hole together and live happily ever after (excuse me for using only one gender for any combination may apply).  The lovers have learned to enjoy and consequently value each other’s company.  In other words, they care about each other. 

Although I don’t mean to equate my cane to lust, the cane does get people’s attention, and is the impetus to a brief but caring relationship, which I submit is the basic ingredient of love.  Most religions extol the virtue of loving each other, and it is true that to do so would solve many of the world’s problems.  To that end perhaps we should produce fewer guns and more canes.

P.S. Irony is alive and well at our house for in the midst of writing this elegant essay, I heard a loud scream and found Barb flat on the floor with a fractured wrist (the second time for that one), but she is doing well mow.  Obviously, she pays little heed to my admonitions to be careful and not fall.

Mom looking spunky as ever after her “spill” that dad referenced above. A cane is on its way 🙂

Editors Note: Eshrink wrote this blog weeks ago and I have been derelict in my editing/posting duties. When I visited mom and dad last week after the my BIG 40th High School Reunion Weekend with Annette, I took mom to follow-up appointment from the fall she had 4 weeks ago. She is healing well and such a trooper!

The Way It Was | Part 1

Introduction: Although three generations apart, my high school English Literature teacher and my editor are of like minds for Maggie and Miss Higgins have both encouraged me to write about things of which I have first-hand knowledge.  I have found that advice to be limiting since although I know a little bit about several things, I don’t consider myself an expert in anything, or as Orrie (a co-worker from my pre-college days working in a glass factory) said of me, I just knew enough to be dangerous.  Since I am now a bona fide member of the old geezer’s club, it follows that I should have some knowledge as to what things were like in times past.  Consequently, Maggie has suggested I write about what things were like in the “good old days.”

 Likewise, son Peter, the historian extraordinaire, recently commented that he would like to know what it was like during my earlier days as he felt first-hand accounts were more informative than were typical historical descriptions.  With all that in mind, I have decided to forego my usual rants about things of which I know little to launch a series of stories about what it was like to live in earlier times.  Unfortunately, to do so will result also in subjecting you to boring autobiographical stuff. 


In psychoanalytic lingo, the term repression is used to indicate an unconscious mechanism in which painful memories or feelings are hidden from us.  This accounts for the fact that uncomfortable memories are often clouded or forgotten.  The term is to be distinguished from suppression which is a conscious act.  Repression is helpful as it allows us to put aside or distort uncomfortable memories, and multiple studies provide confirmatory evidence that memories are unreliable.  Of course, this process is overwhelmed in the case of extremely painful experiences which can result in what we now call post-traumatic stress disorder (PTSD), a malady that under different names has always bedeviled soldiers. Thus, the reader should be forewarned we old folks usually view our childhoods through our own personal brand of rose-colored glasses, and this paper is the result of an old man’s reminiscences rather than a carefully researched historical document.

My parents were married in 1925, and my big brother was born a year later.  He was only 3 years old when the stock market crashed ushering in the world’s worse recorded depression.  My first glimpse of this world and of the wonders that awaited me occurred on a warm September day less than a year after that fateful day.  Although some people insist they remember being born, psychologists who study such things, tell us that we don’t remember anything before three (3) years of age.  Though I don’t remember the blessed event, I have heard a lot about it. 

Front page of the Times Recorder the day after the infamous “Stock Market Crash” on October 29, 1929.

The Early Days: Little Spinney Enters the World

I was birthed in the latest of high-tech facilities by Dr. Wells in his hospital, which was actually the back room of his office where he had a hospital bed.  His “hospital” was located in the village of Nashport, so named as it had been a port on the Ohio canal, where years later I would spear carp in its remains.  In those days, there was a physician in most all midwestern villages, and apparently Dr. wells was progressive in his eschewing of home deliveries.  He even enlisted the aid of my father in administering an ether anesthetic, in spite of which both Mother and I survived.  The whole thing apparently was without complication and as I arrived Dr. Wells commented: “Look at those ears, he is a little Spinney” (the nickname for my maternal grandfather who was well known for large protruding ears at odds with his serious hearing deficit).  In spite of being long and skinny, I weighed in at a whopping 13 pounds.  I would endure that description of my body type and those ears through most of my life.  As a matter of fact, later when in the sixth grade we read Washington Irving’s story, The Legend of Sleepy Hollow, I strongly identified with Ichabod Crane.  Ninety years later, I still have the ears, but am no longer skinny.

Psychiatrists often ask a new patient to relate their earliest memory with the idea that such memories may be indicative of their lifestyle, values, or how they view the world. I believe my earliest memory occurred around the age of 3 or 4 which would have put it in the midst of the depression.  That time was confirmed by my mother who happened to recall the miniature sailor suit which I remember wearing then.  It certainly was a momentous happening in my life for while sitting in the bleachers at a baseball game I was treated with my first box of cracker jacks.  Unfortunately, I don’t remember what the surprise gift was, but I assume it must have been a dandy for me to have remembered the incident for 86 years. Although I have no idea what a box of Cracker Jacks cost in the early 30s, it must have been a luxury for a father who would mow your lawn with a hand powered mower for pennies.  With bread at 8 cents per loaf even a dime would make a big difference in our diet.  You are probably wondering how I would interpret such an earliest memory.  You may rest assured that I would take the 5th amendment.

Speaking of lawn mowers reminds me of another episode of my toddler days.  Any young whipper snapper who happens to be reading this will probably not be aware that when a vintage push mower is turned upside down the blades do not rotate.  This particular memory is of me riding on such a positioned mower with my Dad’s jacket laying on top of it.  I assume he was going house to house attempting to get a lawn to mow, and suspect that he was not above using a cute little guy like me to elicit sympathy from potential customers.

Map that shows Eshrink was born (Nashport) and the areas surrounding Zanesville, Ohio, where he grew up.

Although we moved a lot, we never went very far.   Except for a brief stint in Akron, (more about that later) we were always living in Zanesville, Ohio, or surrounding areas within 12 miles.  Zanesville was a town of 30,000 people located on the fringes of Appalachia, and known for its manufacture of art pottery.  It was located at the junction of 2 rivers which had provided passage for river boats from the Ohio river.  During my childhood it was traversed by route 40, then a heavily traveled transcontinental highway which went directly through the center of town thus gaining Zanesville fame for its traffic jams. 

Race Relations in the 1930s & 40s

Even though Zanesville had been a station on the underground railroad, it was split on the slavery issue with those on the south side of the river known as prominent abolitionists.  They included pastor William Beecher whose sister was Harriet Beecher Stowe author of Uncle Tom’s Cabin.  Frederick Douglas had spoken at Rev. Beecher’s church and there was a great deal of animus from north of the river, which was largely pro-slavery.  During my childhood, Lincoln was widely hailed for ending slavery which everyone in my orbit condemned, but the “separate but equal’ philosophy was still alive and well.   For example, although or schools were not segregated officially, I can only recall one or two black kids in my classes until the eighth grade. Sadly, I don’t recall making any effort to befriend them. 

This a sign from 1931, but this is a picture from an Ohio pool in 2011. The Cincinnati woman who hung the sign on her pool didn’t think there was anything wrong with it and described it as a historical piece. This is the link to the article.

When the city fathers decided to build a municipal swimming pool, they found it necessary to build a second one for black folks.  The local skating rink only allowed black kids in on Monday night, which just happened to coincide with the nearby ice cream parlor’s decision to be closed on Monday.  I assumed that black kids liked to sit in the balcony because they wanted to be together.  Little did I know that the ushers who were present in higher end theaters were tasked with deciding where people should sit. 

Oxymorons such as “I don’t have anything against niggers, but I wouldn’t want my daughter to marry one” or “I wouldn’t want one to live next door” were common in the rare conversations about race.  As I recalled in a previous writing, my first awareness of the degradation suffered by African Americans occurred in my teenage years while working at my father’s filling station.  A black family with an out of state license plate pulled in and after gassing up, the father walked across the street to the back door of a neighboring restaurant to get food for his family.  I was left with a feeling of sadness as I tried to imagine what he must have felt.  That memory has remained etched in my mind for75 years.

This is a picture of a restaurant in Lancaster, Ohio, in 1938 from the Library of Congress. “We Cater to White Trade Only” sign. Ohio, like most of the North and West did not have de jure statutory enforced segregation (Jim Crow laws), but many places still had (de facto) social segregation in the early 20th century.

It is a tribute to the powers of rationalization that we were aghast to hear of lynchings in the south and to see pictures of their “white only” signs as we continued to discriminate against our non-white brethren in less obvious ways, while simultaneously denying our own bigotry.  During my childhood I recall no discussions concerning racial issues, which is understandable when one considers that segregation activates the “out of sight, out of mind” mantra.  I was reared as a WASP (White Anglo-Saxon Protestant).  My tribe was a majority, and obviously wanted to keep it that way.  Segregation was accomplished without formal declaration.  Other than in the area of race relations, high ideals such as honesty, truth, and honor were highly praised, and unresolved racial disparities were the only stain I recall on what came to be called the Greatest Generation however; our sons and daughters would awaken to the problem, and progress has been made in at least accepting that there is a problem.  The fact that the subject is now openly discussed is encouraging.  Moreover, were I to have predicted 60 years ago that I would now be sitting here celebrating a national holiday based on the life of an African American civil rights leader, my sanity would have been questioned. 

Sign for “colored” waiting room at a Greyhound bus terminal in Rome, Georgia, 1943. Throughout the South there were Jim Crow laws creating “de jure” legally required segregation

Nevertheless, hate-speech is now common in political discourse, we have witnessed an upsurge in violence against minorities, there are assaults on our seats of government, and we are told that domestic terrorism is now the greatest threat to our country.  All of this seems to be fueled by a propaganda so ridiculous as to be laughable were its results not so serious.  The most frightening of all is what we are learning as to how the January 6 assault nearly succeeded in reversing the results of an election or worse.  Even though in the years leading up to WWII, the economy was improving, the Depression had provided an opportunity for anarchists of all stripes to get into the act, and of course hatred was their favorite recruitment tool. I was too young to understand its implications, but from my spot under the coffee table I recall hearing Dad’s friends vilify the “damned New York Jews” whom they blamed for the depression.  Radio newscasts made frequent reference to the German American Bund, an organization of German American citizens promoting fascism.  There was also the unlikely supporter of anti-semitism who had reached a large radio audience in the person of a Catholic priest (Father Coughlin).  Capitalism was under siege and strongmen like Hitler, Mussolini, Tito and Stalin were all purging the ranks of adversaries whom of course they accused of causing all the world’s problems. 

Getting a Front Seat to the Acceleration of Innovation

The midst of the most severe depression the world had ever known was certainly not a convenient time to usher in a new member of the Smith family, but for me there was not a more propitious time to have been born.   Although a massive worldwide depression had impeded the industrial revolution, it had largely recovered by the time I reached adolescence, fed by an explosive expansion of the manufacturing section of the economy during World War ll.  That war would also be the impetus to an unraveling of more mysteries as to how things work than has occurred since people first inhabited this planet, and I would marvel at how it all fit together.  Thus, science would gain respect, and previously undreamed-of technologies would become routine.  During my lifetime I would witness the invention of amazing things both great and small which would make life more comfortable and work less arduous.  It was a time when such discoveries would give us an appreciation for the complexities of life and the environment which sustain it, though we were largely oblivious to the untoward side effects such massive progress would cause to our planet. It would also set a pigeon toed long skinny kid with big ears on a journey which would lead him to the most satisfying career one could imagine.  

 However, that war would exact a horrible price.  It was the bloodiest in history.  Although it is impossible to glean an accurate account, some estimate that 85 million people may have been killed not to mention untold numbers who suffered permanently disabling physical or psychological problems. Fortunately for me, I was surrounded by vast oceans which protected me from those horrors, but my family would not totally escape its reach.

Responsible Gambling?

A few days ago I received my copy of the PSYCHIATRIC NEWS wherein there was an article by Dr. Jon Grant, professor of Psychiatry at the University of Chicago entitled: Gambling Disorder Not Uncommon but often Goes Undiagnosed.   A couple of days later the following slick little brochure from the Ohio Lottery Commission showed up in my mail:

Play the Games and win the CASH that IS going to let you live like a KING

It even came with a coupon which could be worth $500 when turned in along with your latest “scratch off” ticket purchase.  With the aid of a magnifying glass, I was able to read the fine print at the bottom of the brochure and noted that 1 million such brochures were printed. I believe it is reasonable to assume that there would be one out of that 1 million who would get the 500 bucks if in the unlikely event all the coupons were actually turned in. 

There was also inscribed in that fine print the Lottery commission’s oft repeated oxymoron to “play responsibly.”  That phrase, which also accompanies their ads on TV, always takes my blood near the boiling point because I don’t believe my government should be in the business of promoting addictions.  I also believe that any behavior with the potential to do harm and even destroy lives should not be encouraged. Gambling is by its very nature irresponsible. 

Afterall, we don’t instruct people to take heroin responsibly.

Yet even Dr. Grant who is editor in chief of THE JOURNAL OF GAMBLING STUDIES , says: “When done responsibly gambling can be fun, thrilling, and potentially rewarding, yet hiding in plain sight are millions of people struggling  with gambling disorder.”   However, Dr. Grant does not share with us how we can be certain that we are immune from developing gambling disorder.  I doubt there are many gambling addicted people who begin gambling with the intention to gamble irresponsibly, or who start gambling with the intention to become addicted. 

During my career I saw many patients who admitted to having gambling problems, and probably many others whom I did not diagnose for those afflicted frequently focus on unrelated symptoms, embarrassed to admit to a gambling problem.  Others may admit to gambling, but deny it is a problem.   Related financial problems are written off as a string of bad luck and denial is expressed by the typical addict’s mantra of “I can quit any time”.  They may see their only problem as simply a string of bad luck which can only be overcome by continuing to gamble in order to recoup their losses. 

One patient who comes to mind was a very pleasant 40ish single mother whom we shall call Alice.  I had been treating her for depression for several months with little success.  She had gone through a nasty divorce from an abusive husband which had taken a toll on her self-esteem.  Alice had married young, had few skills, took a low wage job, and managed to barely survive financially with minimal and erratic child support from her ex-husband.  As is often the case with those of poor self-image she became involved with another poor choice long enough for him to introduce her to the joys of gambling by taking her to a casino where she became enamored with the slot machines.  Following the breakup of that relationship, she discovered the bingo games at her church and would often do 4 or 5 cards simultaneously.  Scratch off cards and lottery tickets consumed every dollar she could find.  There had never been any mention any of gambling until she arrived for a session one day, tearful and overwhelmed with guilt. 

She confessed that she had stolen money to gamble from her teenage son.  Her intent of course was to put it back when she won, behavior all too common with those who are addicted.  Alice was referred to Gamblers Anonymous, and continued in treatment for her depression until shortly before my retirement.  When last seen she was doing well, however relapses are common.  Alice was typical of those with a significant gambling problem in that she also had another psychiatric diagnosis which leaves one with the traditional chicken-egg controversy – did gambling cause the depression or was the depression the result of the gambling problem.  

It has been estimated that 1% of the population is suffering from gambling disorder as it is described in the American Psychiatric Diagnostic and Statistical Manual of Mental Illness (DSM), although accurate statistics are difficult since many cases go undiagnosed, and are often not discovered until a family crisis uncovers the problem as had occurred with my patient.   In addition to family disruptions, bankruptcies, and homelessness, addiction to gambling also carries with it a significant mortality rate.  Rates of gambling related suicide attempts have been rated as between 12% and 30%.  Such a variation suggests we don’t know the real number, and indeed we know suicide rates are underreported due to kind hearted physicians who wish to spare families embarrassment due to the social stigmata attached to the act and to ensure that life insurance policies will be honored.  

The gambling capital of the U.S. is also according to Michelle Trudeau of National Public Radio the suicide capital of the country averaging one daily.  She reported on a Harvard study in which residents of Las Vegas had a 50% higher risk of suicide than the rest of the country and that visitors to the city were twice as likely to kill themselves.  The coroner of Las Vegas ascribes this to the fast pace of life in a boom town and downplays the effects of gambling – surprise, surprise. 

According to our Attorney General we have four different commissions that regulate gambling in my state (Ohio).  When I was a kid, gambling was illegal with the exception of horse racing which could only be wagered at the track.  In 1973, the Ohio constitution was amended to allow a state lottery.  It was passed with a great deal of ballyhoo that the profits would be used to fund schools, and who could be against such a worthy cause? However, 50 years of the lottery does not seem to have done much to change financing of education.  At least I didn’t notice any decrease in my property taxes. 

10 years ago, our first casino opened.  The rational given for legalizing such facilities was that our neighboring state, Indiana, was attracting gamblers from Ohio consequently; would we not rather have them spend their money in Ohio?  Recently, our Governor signed a bill allowing betting on sports with no rationale I could find other than they are already doing it, so why not let the government in on the action?  

It seems that gambling of some sort has always been with us, and that fleeting euphoria which overtakes us when we beat the odds seems to be hard wired.   It may be simply another example of the “pleasure principle” which Freud talked about or perhaps a feeling of superiority for after all gambling is a kind of competition.   However, gambling has a significant advantage over other forms of addiction in hooking us.  B.F. Skinner demonstrated conclusively that behavior can be modified more effectively with what he called “intermittent positive reinforcement” which is the essence of all gambling.   His experiments with rats are replicated whenever someone plays a slot machine, for as did Skinner’s rats we wait for a reward each time we pull the handle.  He demonstrated that his rats were more highly motivated when the rewards were intermittent rather than when predictable, and that such was the case with all creatures tested including humans.  He also noted that the behaviors elicited in this manner were very resistant to being extinguished.  The same principal applies with gambling which is further amplified by increasing the possible amount of the reward. 

Prior to the time when I kicked my addiction to tobacco, I frequently stopped by a neighborhood convenience store to refill my stash of pipe tobacco.  On one such occasion, I was preceded into the store by a middle-aged man who appeared to be of modest means.  He had arrived in a pickup truck which had seen better days, and the state of his bib overalls showed signs that they had also endured some tough times.  His overall appearance and demeanor suggested this guy was a working man with emphasis on the type of work which tests one’s body.  It was Friday and I assume it must have been payday, for he grabbed a six pack of Bud light, asked for a pack of Marlboros and a scratch off ticket of some kind.  He scratched off the seal, threw the ticket down and asked for another one.  Meanwhile the line behind him which included me was stretching so he stepped aside.  As I was leaving he reinserted himself in the line and bought another ticket. 

That vignette of the sweaty guy in bib overalls throwing away money that was undoubtedly earned the hard way is replayed in my mind whenever I hear that those who gamble should “play responsibly”.  During the last few years of      my career, I worked in a clinic with patients mostly with very limited incomes usually through no fault of their own.  They often shared not only their fears, and troubles, but also their yearnings.  Perhaps, the most knowledgeable people about influencing human behavior are those in the advertising industry.  They know all about Skinner’s and other experts’ research, and I confess they hit the bulls eye with that cute little pamphlet I mentioned in the beginning of this diatribe, for who living on the bottom rung of the economic ladder wouldn’t like to have the “CASH that is going to let them live like a KING?” 

Madeline Albright | Freedom | War | Peace

Book cover of Madeline Albright book entitled THE MIGHTY and THE ALMIGHTY: A New York Times Best Seller. Madeline Albright was the first female Secretary of State for the United States of America

Yesterday I learned that Madeline Albright died. On my list of favorite diplomats, she was second only to George Marshall, whose policies were largely responsible for maintaining peace in Europe for 70 years and turned our enemies into allies. Her personal encounters with the evils which exist in our world have undoubtedly enhanced her appreciation for the freedoms afforded by democracy. Several years ago, during the post 9/11 years, we learned about the torture of our prisoners. Of course, the “T” word was never used to describe “enhanced interrogation, waterboarding, or even worse, rendition” which involved sending prisoners or kidnap victims to other countries to be tortured. She was asked to comment and responded that she felt the greatest danger to our democracy was the loss of our ideals.

It seemed clear to me from her comments that she felt the moral high road strengthened a nation and that we must be eternally vigilant and stay the course in order to survive. Her family had twice fled their native Czechoslovakia to escape totalitarianism. Although raised as a Catholic, later in her life she was surprised to learn that she had been born into a Jewish family and that many of her relatives had been victims of the holocaust, which must have further strengthened her resolve. She cautioned that since democracy was fragile it required constant vigilance, but in spite of what she saw as threats to our way of government, recently expressed confidence in its survival. The current political climate characterized by hate-speech, conspiracy theories, disregard for truth, and actual attempts to subvert democracy will certainly put that assessment to the test.

As if that were not enough, we now find ourselves between the proverbial rock and a hard spot with another testosterone-overdosed dictator deciding to kill a few thousand neighbors. Former president Bush had assured us that he had looked into Putin’s eyes, had seen his soul, and was reassured, while Albright had described his eyes as “cold almost reptilian.” Putin’s behaviors for the past few years have corrected that disparity, and we now face 2 unpalatable choices, i.e. directly intervene and risk nuclear war or stand by and watch the carnage of innocent people. So, here we go again with another stupid war. But then again, aren’t all wars stupid? World War II has been referred to as the “good war” although I find it hard to believe there is a lot good about 73 million deaths and only God knows how many injuries and how much suffering.

We now hear debate on the TV and social media about war crimes, yet isn’t killing people always criminal, or does permission granted by Putin or Biden make it OK? Was there a footnote somewhere that listed exceptions to the rule? I am told that there are some Bibles in which the phrase is thou shall not murder rather than kill which would refer to the legality of the killing, but is God actually a lawyer? Does the proverb I often heard my Grandfather use, “it depends on whose ox is being gored?” apply? During World War II Dresden was destroyed with incendiary bombs resulting in a firestorm which killed at least 35,000 people mostly women, children and elderly. There were no military targets. Likewise, Germany’s blitzkrieg of London specifically targeted civilian populations, but we got the prize by killing 226,000 people at Hiroshima and Nagasaki, and leaving other thousands behind to deal with all sorts of radiation caused illnesses.

Those who have been in combat will almost always say that “war is hell.” They often witness horrors they will never be able to forget and sometimes do things which leave them guilt ridden for life. I can see nothing good about any war, yet we continue to glorify it at the behest of our leaders. Were we to simply declare war illegal, it would greatly simplify the UN’s work at the Hague, although it would be quite stressful for those companies who build machines designed to kill people.

Madeline Albright being sworn in as Secretary of State by Vice President Al Gore in 1997. She was the first woman to hold the "top diplomat" position in the country's history
Madeline Albright was sworn in as Secretary of State by Vice President Al Gore in 1997. She was the first woman to hold the “top diplomat” position in the country’s history.

Learn more about Madeline Albright: This is link to an article in TIME Magazine

This is article from NPR

This is link to Wikipedia entry